Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bennett Shipley, BCBA

Individual provider Behavior Analyst · NPI 1992377634

Bennett Shipley, BCBA is a Behavior Analyst in Keller, Texas. Licensed in Tennessee and Texas. Registered with an NPI since 2021.

Licensed in
TN, TX
In the registry since
2021
Specialties on file
3
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

773 Bandit Trl
Keller, TX 76248-0111
Phone: (817) 442-9022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-22-59870 (TX)
Behavior Analyst Taxonomy 103K00000X · Licence 5123 (TN)
Behavior Technician Taxonomy 106S00000X · Licence RBT-20-117363 (TX)

Record details

NPI number1992377634
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorNo
NPI enumeratedJuly 13, 2021
Last updated in NPPESFebruary 8, 2023
Certification dateFebruary 8, 2023
Mailing address2104 Greenbriar Dr, Southlake, TX 76092-8355

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